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Irby Psychological Services, LLC

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Company Details

Name: Irby Psychological Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 18 Jan 2020 (5 years ago)
Business ID: 1198927
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 7075 Golden Oaks Loop WestSouthaven, MS 38671

Agent

Name Role Address
Mary Margaret Gay Agent 2906 N State Street, Suite 106, Jackson, MS 39216

Manager

Name Role Address
Sarah Irby Manager 5824 SHILOH LN, SOUTHAVEN, MS 38672
Benjamin Irby Manager 5824 Shiloh Ln., Southaven, MS 38672
Tera Bradley Manager 7075 Golden Oaks Loop W, Southaven, MS 38671

National Provider Identifier

NPI Number:
1568093912
Certification Date:
2024-05-21

Authorized Person:

Name:
DR. SARAH IRBY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
6788682843

Form 5500 Series

Employer Identification Number (EIN):
844362074
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-07 Annual Report For Irby Psychological Services, LLC
Amendment Form Filed 2024-11-13 Amendment For Irby Psychological Services, LLC
Annual Report LLC Filed 2024-02-08 Annual Report For Irby Psychological Services, LLC
Annual Report LLC Filed 2023-01-22 Annual Report For Irby Psychological Services, LLC
Annual Report LLC Filed 2022-03-14 Annual Report For Irby Psychological Services, LLC
Annual Report LLC Filed 2021-03-17 Annual Report For Irby Psychological Services, LLC
Formation Form Filed 2020-01-18 Formation For Irby Psychological Services, LLC

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Date of last update: 22 May 2025

Sources: Company Profile on Mississippi Secretary of State Website